摘要
目的:探讨双平面法经腋窝入路假体隆乳术中应用内镜辅助技术的临床效果,并总结手术要点。方法:选取36例内镜辅助技术下行双平面法经腋窝入路假体隆乳术患者,先设计拟置入假体所需剥离的上极、内侧、外侧、新的乳房下皱襞范围及胸大肌离断线,再切开双侧腋窝皮肤并分离,常规剥离胸大肌后间隙,在内窥镜辅助下,离断部分胸大肌,置入假体,术后留置负压引流管。结果:所有患者均顺利完成手术,手术时间(100.3±34.5)min,术中出血量(25.6±4.6)ml;术后引流(4.8±2.0)天,单侧乳房引流量为(200.3±65.8)ml。术后随访1年,无明显乳头、乳晕感觉丧失,1例(2.78%)出现包膜挛缩,Baker II级,余35例乳房外形丰满圆润、手感柔软,活动度好,无假体移位及双峰乳形等并发症。结论:在内镜辅助技术下行双平面法经腋窝入路假体隆乳术,术后乳房外形逼真,手感柔软,活动度好,无明显并发症发生,安全可行。
Objective To investigate the effect of endoscopy -assisted used in dual-biplane method by axillary approach prosthetic augmentation,and summarize the main points. Methods 36 cases who treated wtih endoscopy used in dual-biplane method by axillary approach prosthetic augmentation,firstly,designed to be placed on the desired prosthesis peeled poles, inside,outside, under the new inframammary range and arm pectoralis major from the break,and then cut and separated bilateral axillary skin after conventional stripping pectoralis major gap in the endoscopic- assisted, partial transection of the pectoralis major,prosthesis implantation,indwelling suction drainage tube.Results All patients were successfully operated,operative time was （100.3±34.5） min, blood loss was （25.6± 4.6） ml; postoperative drainage was （4.8± 2.0） d,unilateral breast drainage was （200.3±65.8） ml. Patients were followed up for 1 year,no significant nipple and areola sensory loss,1 case （2.78%） appeared capsular contracture,Baker II level, more than 35 cases of breast shape plump mellow,soft,good activity,no prosthesis displacement and bimodal breast shape and other complications.Conclusion endoscopy-assisted used in dual-biplane method by axillary approach prosthetic augmentation, after breast shape life like, soft,good activity,no significant complications occurred, safe and feasible.
出处
《中国美容医学》
CAS
2014年第18期1514-1516,共3页
Chinese Journal of Aesthetic Medicine
关键词
双平面法
经腋窝入路
内镜辅助技术
假体隆乳术
biplane method
via the axillary approach
endoscopic techniques
prosthetic breastaugmentation
